Most of what adult children need to know about West Virginia estate and incapacity planning is concentrated in a small number of documents and a handful of state-specific rules. Without state estate or inheritance tax, the planning is about getting the documents right, avoiding probate where practical, and coordinating with Medicaid.

The four documents to have in place this year

These are universally applicable in WV regardless of wealth. Most cost between $300 and $1,200 through a WV-licensed attorney; a trust adds another $1,200–$3,500.

1. Durable Power of Attorney (W. Va. Code §39B)

West Virginia adopted the Uniform Power of Attorney Act effective 2014, codified at W. Va. Code §39B. The statute provides a statutory short form, treats certain “hot powers” (gifting, beneficiary changes, trust amendments) as requiring specific authority in the document, and provides default protections for agents and third parties acting in good faith.1

A WV DPOA names an agent (attorney-in-fact) to handle your parent’s financial affairs if they become unable to. Key WV-specific points:

2. Medical Power of Attorney (W. Va. Code §16-30)

WV’s Health Care Decisions Act (W. Va. Code §16-30) governs medical decision-making documents. The Medical POA (W. Va. Code §16-30-3) names a representative to make medical decisions when your parent cannot communicate their wishes. Two adult witnesses are required at execution; the statute also requires the agent to be at least 18 and have capacity.2

3. Living Will (W. Va. Code §16-30)

The Living Will, under the same Health Care Decisions Act, expresses your parent’s wishes about end-of-life care — specifically whether to withhold or withdraw life- sustaining treatment in defined terminal or persistent- vegetative-state conditions. It works alongside the Medical POA, not in place of it. Two adult witnesses required; notarization is optional but recommended.

4. Revocable Living Trust

A revocable trust is the workhorse of WV probate avoidance. Your parent transfers assets into the trust during life, retains full control as trustee, and names a successor trustee to manage and distribute assets at death without probate. WV recognizes revocable trusts under W. Va. Code §44D (the WV Uniform Trust Code), adopted in 2011.

No state estate tax, no state inheritance tax

West Virginia repealed its inheritance tax effective 1985 and has never had a standalone estate tax. The only estate-tax concern for WV families is the federal estate tax, with a $13.99M per-person exemption in 2025 — meaning that estate-tax planning is a non-issue for the vast majority of WV families.3

That makes WV estate planning unusually clean: the focus is on probate avoidance, incapacity documents, and Medicaid coordination — not tax minimization. The decisions are about who manages assets, who inherits, how to avoid probate, and how to preserve eligibility for Medicaid LTC if needed.

Probate in WV: county-administered, sometimes slow

WV probate is governed primarily by W. Va. Code §§41 (Wills) and §44 (Administration of Estates). The process is administered at the county level: the County Commission appoints a personal representative (executor or administrator), and the Commissioner of Accounts oversees the administration through filing of inventories, accountings, and distributions.4

Three procedural pathways:

County-to-county variation in WV probate procedure is real. Some counties have efficient Commissioner of Accounts offices that move estates quickly; others run on extended timelines. For families considering DIY probate, a brief consultation with a county-experienced WV attorney is worth the cost.

Mineral rights and land in WV estates

WV estate planning has a feature most states don’t: the prominence of mineral rights (oil, gas, coal) and long-held family land. Both create planning considerations:

Guardianship and conservatorship

If incapacity occurs without documents in place, WV Guardianship and Conservatorship proceedings (W. Va. Code §44A) provide the legal framework for managing the person’s affairs. Guardianship covers personal and medical decisions; conservatorship covers financial. Both require court proceedings, ongoing reporting to the court, and bonding for conservators. The process is typically $2,000–$5,000 in legal fees plus ongoing administrative costs.5

The whole point of the four-document package is to avoid guardianship and conservatorship by establishing decision-makers in advance. The documents cost a fraction of the guardianship process.

What to do this quarter